Traumacast EAST/AAST/AAST-AMC: SCC Review Series - Shock
12 snips
Jun 6, 2025 
In this engaging discussion, Dr. Joseph Cuschieri, a seasoned surgical expert, shares his insights alongside critical care fellows Dr. Gerald Wang and Dr. Kirea Mazzolini. They dive deep into the intricate pathophysiology of shock, covering its various types like septic and hemorrhagic shock. The trio emphasizes evidence-based resuscitation strategies and the strategic use of vasopressors. Listeners can also expect real case studies that highlight the dynamic decision-making needed in critical care environments, making the complex topic accessible and relatable.
AI Snips
Chapters
Transcript
Episode notes
Early Vasopressor Use in Sepsis
- Add norepinephrine via peripheral IV if BP remains low after fluids.
- Use bedside echo and dynamic measures to assess fluid responsiveness.
Escalating Vasopressors in Sepsis
- Add vasopressin as a second vasopressor if norepinephrine dose is high and MAP is low.
- Consider epinephrine if MAP remains inadequate despite dual pressors.
Angiotensin II for Refractory Shock
- Consider angiotensin II for refractory catecholamine-resistant septic shock.
- Monitor for thrombotic risks and high cost when using this agent.